BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY
POLICIES AND PROCEDURES MANUAL
Chapter: 4
Section: 9
Topic: 12
Care & Treatment Services
Health and Medications
Pain Management
Page: 1 of 4
Supersedes Date:
Pol: 9-20-01
Proc: 1-20-04, 9-20-01
Approval Date:
Pol: 2-19-04
Proc: 9-30-06
___________________________________
Board Chairperson Signature
___________________________________
Chief Executive Officer Signature
Note: Unless this document has an original signature, this copy is uncontrolled and valid on this date only: 2/15/2016. For
controlled copy, view Agency Manuals - Medworxx on the BABHA Intranet site.
Policy
It is the policy of Bay-Arenac-Behavioral Health Authority (BABHA) to evaluate or screen
persons served for the presence of pain in order to determine the need for further assessment. If
appropriate, the person will be referred to the appropriate pain management resources, which will
coordinate care plans with the primary care physician to treat the effects of chronic pain.
Purpose
This policy and procedure was established to provide a process by which individuals receive a
screening process for a comprehensive pain assessment, if appropriate.
Education Applies to
All BABHA Staff
Selected BABHA Staff, as follows:
All Clinical, Clinical Management, Ancillary Care
and Agency Nurses – Residential and Clinical
All Contracted Providers:
Policy Only
Policy and Procedure
Selected Contracted Providers, as follows:
Policy Only
Policy and Procedure
BABHA’s Affiliates:
Policy Only
Policy and Procedure
Other:
Background
BABHA understands the impact that physical pain can have on a person’s mental behavioral
health, personal relationships, life roles and overall quality of life. BABHA is committed to
screening or evaluating individuals on an annual basis, for the presence of conditions that may be
causing pain and to assist the consumer in developing a plan to address these conditions.
Definitions
BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY
POLICIES AND PROCEDURES MANUAL
Chapter: 4
Section: 9
Topic: 12
Care & Treatment Services
Health and Medications
Pain Management
Page: 2 of 4
Supersedes Date:
Pol: 9-20-01
Proc: 1-20-04, 9-20-01
Approval Date:
Pol: 2-19-04
Proc: 9-30-06
___________________________________
Board Chairperson Signature
___________________________________
Chief Executive Officer Signature
Note: Unless this document has an original signature, this copy is uncontrolled and valid on this date only: 2/15/2016. For
controlled copy, view Agency Manuals - Medworxx on the BABHA Intranet site.
N/A
Procedure
1. Clinical staff will screen persons for the presence of pain during the initial intake and at least
on an annual basis.
2. Clinical staff will ask the person to complete the Consumer Health Screening Form (adults)
or the Child and Adolescent Background Information Form (children) at intake and at annual
review. These forms screen for the presence of conditions that cause pain. The clinical staff
will use the information provided as they complete their assessment and work with the
individual to develop the Person-Centered Plan (PCP).
3. If the person identifies that they have a condition that causes them pain either at intake,
during a routine office visit, or a home visit, but at least annually, the clinical staff person
will do the following:
a. Assess the pain to include location, character, intensity, duration, frequency and relieving
factors of the pain.
b. Assess what effects the pain is currently having on the person’s life including their
behavioral health, personal relationships, physical mobility, social life, recreational
opportunities and work or school.
c. Ensure that the person is connected to medical care to treat the condition.
d. Coordinate with the primary care physician to ensure that behavioral health care and
medical treatment are coordinated.
e. Ensure that treatment is provided to alleviate the behavioral health effects of chronic pain
including anxiety, mental anguish, depression, substance abuse and suicidal ideations.
f. Educate the individual regarding the effects of chronic pain and strategies to cope with
them including pharmacological and non-pharmacological approaches.
g. Provide information and support to family members and other significant others if
indicated and with the consent of the consumer,
h. Provide the person with resources and educational information related to pain
management.
BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY
POLICIES AND PROCEDURES MANUAL
Chapter: 4
Section: 9
Topic: 12
Care & Treatment Services
Health and Medications
Pain Management
Page: 3 of 4
Supersedes Date:
Pol: 9-20-01
Proc: 1-20-04, 9-20-01
Approval Date:
Pol: 2-19-04
Proc: 9-30-06
___________________________________
Board Chairperson Signature
___________________________________
Chief Executive Officer Signature
Note: Unless this document has an original signature, this copy is uncontrolled and valid on this date only: 2/15/2016. For
controlled copy, view Agency Manuals - Medworxx on the BABHA Intranet site.
4. When pain is identified, it will be reassessed and documented at the time of a periodic
review.
5. A list of pain management resources will be maintained including support groups, pain
management centers, and state and national organizations.
6. Educational materials for persons served, family members and other interested persons will
be developed and/or obtained.
7. Clinical staff will be educated regarding the effects of chronic pain, how to screen and assess
for pain, the variety of treatment strategies for pain management, cultural issues and the
barriers to effective treatment so that they may assist the persons served in obtaining
appropriate medical care and assist them in coping with the effects of chronic pain.
8. If appropriate, new staff will be required to receive the training during their orientation
period.
9. Periodic trainings will also be offered to keep staff up to date on pain management
approaches.
Attachments
N/A
Related Forms
Consumer Health Screening Form (G:/Clinical Services/Master Clinical Files)
Child and Adolescent Background Information Form (G:/Clinical Services/Master Clinical Files)
Related Materials
N/A
BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY
POLICIES AND PROCEDURES MANUAL
Chapter: 4
Section: 9
Topic: 12
Care & Treatment Services
Health and Medications
Pain Management
Page: 4 of 4
Supersedes Date:
Pol: 9-20-01
Proc: 1-20-04, 9-20-01
Approval Date:
Pol: 2-19-04
Proc: 9-30-06
___________________________________
Board Chairperson Signature
___________________________________
Chief Executive Officer Signature
Note: Unless this document has an original signature, this copy is uncontrolled and valid on this date only: 2/15/2016. For
controlled copy, view Agency Manuals - Medworxx on the BABHA Intranet site.
References/Legal Authority
Accrediting Bodies
Submission Form
Approving Body/Committee/Supervisor:
M. Bartlett
M. Bartlett/M. Swank
Result:
Deletion
New
No Changes
Author/Reviewer:
M. Bartlett
K.Withrow/M. Bartlett
Replacement
Approval/Review Date:
10/26/2009
6/24/13
Revision
List reason for deletion/replacement/revision here. If replacement, list policy to be replaced.
Terminology change
Triennial review: Updated with Person First Language